BMJ:富含血小板的血浆对急性跟腱断裂患者预后的影响

2019-11-21 MedSci MedSci原创

研究认为,没有证据表明注射富含血小板的血浆能改善急性跟腱断裂后患者的客观肌肉功能、报告功能或生活质量

近日研究人员考察注射富含血小板的血浆对改善急性跟腱断裂患者预后的影响。

成年急性跟腱断裂患者参与研究,跟腱断裂12小时内,未接受手术治疗,随机接受富含血小板血浆(n=114)或安慰剂(n=116)注射。所有参与者都接受了标准康复护理(踝关节固定,然后进行理疗)。研究的主要终点是24周时肢体对称指数及足跟上升耐力试验评估的肌肉肌腱功能,次要终点包括功能(跟腱断裂评分)、生活质量、疼痛、目标实现和不良事件。

患者平均年龄46岁,女性占25%。24周时。88%的患者完成足跟上升耐力试验,94%的患者报告了结果。组间肌肉肌腱功能差异不显著(肢体对称指数:34.7% vs 38.5%)。组间次要终点以及不良事件率差异不显著。

研究认为,没有证据表明注射富含血小板的血浆能改善急性跟腱断裂后患者的客观肌肉功能、报告功能或生活质量。

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    2020-04-29 gaoxiaoe
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